DIVYA RAVINDRA REDDY MD NPI 1114456027

NPI Information

  • NPI: 1114456027
  • Provider Name: DIVYA RAVINDRA REDDY, MD
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 15TH ST
    AUGUSTA, GA
    ZIP 30912
  • Phone: (706) 721-9442

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NPI Details

Divya Ravindra Reddy, MD is a pediatric nephrology pediatrics in Augusta, GA with 16 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Divya Ravindra Reddy, MD NPI is 1114456027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1120 15TH ST
AUGUSTA, GA
ZIP 30912-004
Phone: (706) 721-9442

The NPI 1114456027 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 3/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics00009174GEORGIANo
22080P0210XPediatricsPediatric NephrologyV3946TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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